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North Carolina rates for HCPCS 64645

Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.29 / $553.79 / $4,311.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.29 / $118.19 / $239.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.99 / $110.99 / $155.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.13 / $197.14 / $293.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.44 / $151.66 / $274.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.29 / $135.05 / $189.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.00 / $142.00 / $154.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.63 / $125.30 / $186.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.00 / $896.00 / $2,229.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.35 / $155.47 / $281.08
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $389.60 / $389.60
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.88 / $695.40 / $1,032.00